Case Manager
2 weeks ago
SCOPE OF ROLE The role of the Case Manager is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, assessing member needs, planning for care, monitoring the efficacy of interventions, and advocating to ensure member's receive services and resources required to meet desired health and social outcomes. The Case Manager is responsible for providing patient centered care across the care continuum. ROLE RESPONSIBILITIES * Assessment of the medical, social, and behavioral needs of an assigned population * Care Plan development and prioritization to transition members to optimal levels of health and self-management. * Coordinate interdisciplinary team meetings as required * Collaboration across providers and healthcare settings to ensure optimal quality outcomes for an assigned population * Provide transition of care interventions as required * Facilitate care coordination, self-management planning, discharge planning, and health education for an assigned population. * Facilitate linkage to appropriate community resources to address social determinants of health * Adjudicate referrals and apply evidence-based clinical criteria to coordinate member care needs across all care setting * Ensure member communication and notices are composed in a manner consistent with regulatory standards. * Adheres to the Policies and Procedures set forth by the Quality Management Committee. EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE * Associate's degree in Nursing, Bachelor's degree preferred * Minimum two (2) years of experience in medical management clinical functions. * Working knowledge of MCG, InterQual, and NCQA standards LICENSURES AND CERTIFICATIONS * Active and Unrestricted License as a Registered Nurse (RN) * Certification in Case Management (CCM) or Managed Care Nursing (CMCN) preferred PROFESSIONAL COMPETENCIES * High level of critical thinking and problem-solving skills * Strong work ethic and overall positive attitude * Effective communication skills including verbal and written * Ability to manage time effectively, understand directions, and work independently in a fast-paced environment * Demonstrated flexibility, organization, and self-motivation * Highly adaptable to change
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Bilingual Case Manager
2 weeks ago
Tampa, FL, United States NeueHealth Full timeBilingual Case Manager (RN)The role of the Case Manager is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, assessing member needs, planning for care, monitoring the efficacy of interventions, and advocating to ensure member's receive services and resources required to meet desired...
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Case Manager RN
1 week ago
Tampa, FL, United States Tampa General Hospital Full timeCase Manager RNJob Description: The Case Manager is responsible for ensuring patient progress and meeting and facilitating a safe and sustainable transition plan. Collaborates with Physician and Interdisciplinary Team to determine plan of care, treatment, estimated LOS, and likely discharge disposition (home, LTAC, SNF, or ALF). Ensures that...
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Case Manager RN
3 weeks ago
Tampa, FL, United States Tampa General Hospital Full timeCase Manager RNJob Description: The Case Manager is responsible for ensuring patient progress and meeting and facilitating a safe and sustainable transition plan. Collaborates with Physician and Interdisciplinary Team to determine plan of care, treatment, estimated LOS, and likely discharge disposition (home, LTAC, SNF, or ALF). Ensures that...
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Case Management Nurse
2 weeks ago
Fresno, CA, United States Pinnacle Case Management Solutions, LLC. Full timeCompany DescriptionPinnacle Case Management Solutions, LLC provides nurse case management services to employers, third-party administrators, and insurance carriers in the Workers' Compensation industry. Our dedicated team of nurses support all parties involved in the recovery process, including the claim examiner, employer, provider, and injured worker. We...
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Registered Nurse
2 months ago
Pasco, WA, United States Professional Case Management Full timeMake a Difference on Your Own Schedule and Terms!Hiring Case Managers in Washington Come join our growing team! A few of our perks:Create your own schedule!$42/hr. (including 100% of Hourly Wage Paid for All Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...
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Registered Nurse
2 weeks ago
Portsmouth, OH, United States Professional Case Management Full timeMake a Difference on Your Own Schedule and Terms!Hiring Case Managers in Ohio Come join our growing team! A few of our perks:Create your own schedule!$38/hr. (including 100% of Hourly Wage Paid for All Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...
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Case Manager RN
1 week ago
Tampa, FL, United States Tampa General Hospital Full timeCase Manager RN Job Description: The Case Manager is responsible for ensuring patient progress and meeting and facilitating a safe and sustainable transition plan. Collaborates with Physician and Interdisciplinary Team to determine plan of care, treatment, estimated LOS, and likely discharge disposition (home, LTAC, SNF, or ALF). Ensures that...
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Case Manager RN
3 weeks ago
Tampa, FL, United States Tampa General Hospital Full timeCase Manager RN Job Description: The Case Manager is responsible for ensuring patient progress and meeting and facilitating a safe and sustainable transition plan. Collaborates with Physician and Interdisciplinary Team to determine plan of care, treatment, estimated LOS, and likely discharge disposition (home, LTAC, SNF, or ALF). Ensures that...
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Field Nurse Case Manager
2 weeks ago
, CA, United States Pinnacle Case Management Solutions, LLC. Full timeCompany DescriptionPinnacle Case Management Solutions, LLC provides nurse case management services to employers, third-party administrators, and insurance carriers in the Workers' Compensation industry. Our dedicated team of nurses support all parties involved in the recovery process, including the claim examiner, employer, provider, and injured worker. We...
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Registered Nurse
2 months ago
Santa Fe, NM, United States Professional Case Management Full timeMake a Difference on Your Own Schedule and Terms!Hiring Case Managers in New Mexico Come join our growing team! A few of our perks:Create your own schedule!$40/hr. (including 100% of Hourly Wage Paid for All Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...
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Bilingual Case Manager
6 days ago
Tampa, FL, United States NeueHealth Full timeBilingual Case Manager (RN) - Remote Florida LicenseThe role of the Case Manager is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, assessing member needs, planning for care, monitoring the efficacy of interventions, and advocating to ensure member's receive services and resources...
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Case Manager RN
1 month ago
Tampa, FL, United States Tampa General Hospital Full timeCase Manager RN -Kennedy Emergency DeptThe Case Manager is responsible for ensuring patient progress and meeting and facilitating a safe and sustainable transition plan. Collaborates with Physician and Interdisciplinary Team to determine plan of care, treatment, estimated LOS, and likely discharge disposition (home, LTAC, SNF, or ALF). Ensures that...
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Travel Nurse RN
5 days ago
Inverness, FL, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Inverness, Florida. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 05/29/2024 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel We are seeking a Case Manager-Registered...
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Travel Nurse RN
4 days ago
Inverness, FL, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Inverness, Florida. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: ASAP Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel We are seeking a Case Manager-Registered Nurse...
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Case Manager RN
1 week ago
Tampa, FL, United States Tampa General Hospital Full timeCollaborates with Physician and Interdisciplinary Team to determine plan of care, treatment, estimated LOS, and likely discharge disposition (home, LTAC, SNF, or ALF). Reviews medical record to anticipate clinical stability and to have a thorough understanding of the patient prior to speaking with the physician and/or participating in multidisciplinary...
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Case Manager RN
3 weeks ago
Tampa, FL, United States Tampa General Hospital Full timeCollaborates with Physician and Interdisciplinary Team to determine plan of care, treatment, estimated LOS, and likely discharge disposition (home, LTAC, SNF, or ALF). Reviews medical record to anticipate clinical stability and to have a thorough understanding of the patient prior to speaking with the physician and/or participating in multidisciplinary...
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Case Manager RN
2 months ago
Tampa, FL, United States Tampa General Hospital Full timeCase Manager RN -Kennedy Emergency Dept The Case Manager is responsible for ensuring patient progress and meeting and facilitating a safe and sustainable transition plan. Collaborates with Physician and Interdisciplinary Team to determine plan of care, treatment, estimated LOS, and likely discharge disposition (home, LTAC, SNF, or ALF). Ensures that...
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Case Manager RN
2 months ago
Tampa, FL, United States Tampa General Hospital Full timeCase Manager RN -Kennedy Emergency Dept Collaborates with Physician and Interdisciplinary Team to determine plan of care, treatment, estimated LOS, and likely discharge disposition (home, LTAC, SNF, or ALF). Reviews medical record to anticipate clinical stability and to have a thorough understanding of the patient prior to speaking with the physician...
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Case Manager
2 weeks ago
Tampa, United States NeueHealth Full timeCase Manager (RN)SCOPE OF ROLE The role of the Case Manager is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, assessing member needs, planning for care, monitoring the efficacy of interventions, and advocating to ensure member's receive services and resources required to meet...
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RN Case Manager
1 day ago
Stuart, FL, United States Cleveland Clinic Full timeRN Case Manager - Case ManagementJoin our team at Cleveland Clinic Martin Health and experience world-class healthcare at its best. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will be part of a talented, compassionate, and driven team of caregivers. You will work with state-of-the-art technology and...
